Business Analyst - RCM

The Data & Analytics Function oversees the analytics life-cycle in order to identify, analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage.

Requirements

• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred).
• 5+ years of experience in business analysis, with at least 3 years in RCM within a healthcare or DMEPOS environment.
• Strong understanding of payer reimbursement models, billing codes (HCPCS, ICD-10), and regulatory requirements.
• Proficiency in SQL, Excel, and data visualization tools (Power BI, Tableau, etc.).
• Excellent communication, critical thinking, and stakeholder engagement skills.
• Execute complex projects of large scope, often involving cross-functional collaboration and high visibility.
• Analyze and optimize the full RCM lifecycle, including eligibility, authorization, billing, collections, denials, and payment posting.
• Perform variance analysis to identify trends, root causes, and opportunities for operational and financial improvement.
• Design and build data visualization tools and dashboards (e.g., Power BI, Tableau) to track KPIs and support decision-making.
• Enable efficient and effective root cause analysis on denials, underpayments and delays in cash flow and the development of corrective strategies.
• Drive cash collection optimization through payer behavior analysis, AR aging reviews, and workflow enhancements.
• Work independently with general guidance, ensuring solutions are aligned with organizational objectives and compliance standards.
• Translate complex data into clear, actionable insights for executive leadership and operational teams.
• Support audits, payer contract reviews, and compliance initiatives as needed.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Health Insurance
• Dental Insurance
• Vision Insurance